Provider Demographics
NPI:1831340652
Name:ANTOINE, SHERRI ANN (MS, CCC-SLP)
Entity type:Individual
Prefix:MR
First Name:SHERRI
Middle Name:ANN
Last Name:ANTOINE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 NE 27TH ST
Mailing Address - Street 2:
Mailing Address - City:LIGHTHOUSE POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33064-8320
Mailing Address - Country:US
Mailing Address - Phone:561-398-1280
Mailing Address - Fax:415-856-7370
Practice Address - Street 1:2601 NE 27TH ST
Practice Address - Street 2:
Practice Address - City:LIGHTHOUSE POINT
Practice Address - State:FL
Practice Address - Zip Code:33064-8320
Practice Address - Country:US
Practice Address - Phone:412-445-0884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-10
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL004106L235Z00000X
FLSA20195235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist